Siegel, Katie Park

Siegel, Katie Park is an sole proprietor health care provider with primary practice located at 11246 Sullivan St , Riverview FL 33578-2140. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Siegel, Katie Park can be contacted via phone (813) 530-0111.

Contact Information

Primary practice address
11246 Sullivan St Riverview FL 33578-2140
Phone: (813) 530-0111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X DN26203 Florida

Profile Details

NPI number 1033745344
LBN Legal business name Siegel, Katie Park
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2020
Last updated Oct 19th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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